Active NPI
Lisa Austin
- Clinical Social Worker
- Largo, MD
National Provider Identifier
1114395506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13783
- Practice address
- 1330 McCormick Dr
Largo, MD 20774-5398 - Phone
- (301) 773-3500
- NPI assigned
- Sep 2, 2015
- Last updated
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13783 | MD | Primary |
Addresses
Primary practice location
1330 McCormick Dr
Largo, MD 20774-5398
Mailing address
9410 Squires CT
Laurel, MD 20723-1600
Phone (301) 512-3889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13783 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1114395506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9410 SQUIRES CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231600",
"telephone_number": "301-512-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 MCCORMICK DR",
"city": "LARGO",
"state": "MD",
"postal_code": "207745398",
"telephone_number": "301-773-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
- Asten Nursing and Behavioral Health LLC
- At Your Service Labs LLC
- Mohamed A Atalla, M.D.
- Michael Atembeshu
- Idongesit Iheanyichukwu Attang, M.D.
- Avenel Healthcare Inc. (Avenel Wellness Center)
- Avenel Holistic Health Services LLC
- Avenel Holistic Health Services LLC
- Avenel Holistic Health Services LLC
- Awesome Resource Coordination, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.